Perforated Voluminous Duodenal Burkitt Lymphoma Causing Severe Peritonitis: A Case Report
Aymane Jbilou *
Department of General Surgery, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Abdelmalek Essaadi University, Tanger, Morocco.
Younes Aggouri
Department of General Surgery, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Abdelmalek Essaadi University, Tanger, Morocco.
Anass Ahallat
Department of General Surgery, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Abdelmalek Essaadi University, Tanger, Morocco.
Said Aitlaalim
Department of General Surgery, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Abdelmalek Essaadi University, Tanger, Morocco.
*Author to whom correspondence should be addressed.
Abstract
The management of duodenal malignant lymphoma presents challenges due to the presence of serious complications like obstruction, pancreatitis, and perforation. As a result, a combination of surgical measures and interdisciplinary procedures is necessary.
We report a case of a 44 years old man suffering from abdominal pain and vomiting.
CT images showed a voluminous intraperitoneal perforated tumour.
Intra operative exploration showed that the origin of the tumour is duodenum, a resection was performed. Patient died few hours after surgery. Histological and immunohistochemical findings confirmed the diagnostic of burkitt lymphoma.
The primary treatment for gastrointestinal lymphomas remains chemotherapy, but in cases of duodenal lymphoma, a significant number of patients need surgery due to complicated presentations.
Keywords: Duodenal, burkitt lymphoma, pneumoperitoneum, peritonitis